Routine inspection·October 17, 2024

At approximately 10:00AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a 1-Year Required Visit and met with Executive Director/Administrator, Juliet McGranahan Facility serves residents with dementia and has a plan of operation for dementia care and programming on file. Facility has an approved fire clearance and capacity for 75 non-ambulatory residents of which 10 can be bedridden. Facility has an approved hospice waiver for 15 individuals and has approval for a secured perimeter. Upon arrival, LPA was informed that there were 59 Residents in care and 23 staff members on-site. LPA reviewed the Facility's Staff Roster and found that Staff Member 1 (S1) were not fingerprint cleared or associated to the facility as required. Executive Director notified S1 to leave the premises during visit (deficiency cited and civil penalty issued, see LIC809D and LIC421BG, Health and Safety Code 1569.17(c)(1)(A)). Facility's fire extinguishers, smoke and carbon monoxide detectors and sprinkler system were last inspected July 2024. Facility smoke detectors are hard wired and connect directly to the local fire station. Facility's last emergency/disaster drill was conducted September 2024. LPA, Executive Director, and Memory Care Director reviewed Guardian requirements, Title 22 Regulations, and Licensing expectations.